SYSTEMIC ANALYSIS OF STROKE CARE IN TASHKENT: RESULTS OF A THREE-YEAR OBSERVATION USING THE STROKEMOB.UZ MOBILE APPLICATION
Keywords:
stroke, stroke registry, stroke care service, neuroimaging, thrombolysis, mobile application, therapeutic windowAbstract
Stroke is one of the leading causes of death and disability worldwide, with the greatest burden falling on low- and middle-income countries. Tashkent lacks a unified stroke registry, and incidence statistics from different sources diverge substantially, which complicates the planning of stroke services. This study examined the clinical-epidemiological and organizational problems in the delivery of care for acute cerebrovascular accident (ACVA), based on a three-year observation in the emergency department of City Clinical Hospital No. 7 using the mobile application Strokemob.uz. The observation revealed pronounced structural and organizational barriers in stroke care and the absence of reliable registry statistics. The developed Strokemob.uz application is proposed as a scalable tool for standardized, real-time epidemiological data collection, applicable in resource-limited settings.
References
GBD 2021 Stroke Risk Factor Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Neurol. 2024;23(10):973–1003. doi:10.1016/S1474-4422(24)00369-7
Feigin VL, Brainin M, Norrving B, et al. World Stroke Organization: Global Stroke Fact Sheet 2025. Int J Stroke. 2025. doi:10.1177/17474930241308142
[Систематический обзор национальных госпитальных регистров инсульта, 2024–2025; Int J Stroke / SAGE].
Xian Y, Fonarow GC, Reeves MJ, et al. Data quality in the American Heart Association Get With The Guidelines-Stroke (GWTG-Stroke): results from a national data validation audit. Am Heart J. 2012;163(3):392–398. doi:10.1016/j.ahj.2011.12.012
Данные службы скорой медицинской помощи г. Ташкента за 2024 г.
Кузнецова Т.А., Знобкина В.А., Морозова Н.В., Пожидаева Ю.А. Первичная профилактика цереброваскулярных заболеваний и инсульта. //Прикладные информационные аспекты медицины. 2018. Т. 21. № 1. С. 163-168.
Лагода О.В., Антонова К.В., Раскуражев А.А. Учебно-методическое пособие Школы профилактика цереброваскулярных заболеваний. В книге: Цереброваскулярная патология: профилактика, терапия, нейропротекция. Пирадов М.А., Танашян М.М., Максимова М.Ю., Домашенко М.А., Научного центра неврологии по сосудистым заболеваниям мозга Академия инсульта. // Альманах №4. Сер. "Академия инсульта" Москва, 2017. С. 10-63.
Лихачев С.А., Недзьведь Г.К., Семак А.Е., Анацкая Л.Н., Гончар И.А., Лурье Т.В., Чечик Н.М. Организация первичной профилактики ишемического инсульта. //Здравоохранение (Минск). 2012. № 8. С.21
